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Health Education & Behavior
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Vaccine Risk/Benefit Communication: Effect of an Educational Package for Public Health Nurses

Terry C. Davis, PhD

Louisiana State University Health Sciences Center, Shreveport Shreveport, Departments of Pediatrics and Internal Medicine, 1501 Kings Hwy., Shreveport, LA 71130;tdavis1{at}lsuhsc.edu

Doren D. Fredrickson, MD, PhD, FAAP, FACPM

University of Kansas School of Medicine, Wichita

Estela M. Kennen, MA

Louisiana State University Health Sciences Center, Shreveport

Sharon G. Humiston, MD, MPH

University of Rochester School of Medicine and Dentistry, New York

Connie L. Arnold, PhD

Mackey S. Quinlin, BS

Joseph A. Bocchini, Jr., MD

Louisiana State University Health Sciences Center, Shreveport

The purpose of this study was to determine whether an in-service for public health nurses (PHNs) and accompanying educational materials could improve vaccine risk/benefit communication. The content and timing of vaccine communication were recorded during 246 pre-and 217 postintervention visits in two public health immunization clinics. Pre-/postintervention comparisons showed PHN communication of severe side effects (13% vs. 44%, p < .0001) and their management (29% vs. 60%, p < .0001) increased. There was no significant change in discussion of vaccine benefits (48% vs. 51%) or common side effects (91% vs. 92%),screening for contraindications (71% vs. 77%), or distribution of written information (89% vs. 92%). More parents initiated vaccine questions postintervention (27% vs. 39%,p < .01) and were more satisfied with vaccine-risk communication (8.1 vs. 8.9 on a 10-point scale, p < .01). Average vaccine communication time increased from 16 to 22 seconds (p < .01).

Key Words: childhood immunization • public health • health education • risk communication • literacy

This version was published on December 1, 2006

Health Education & Behavior, Vol. 33, No. 6, 787-801 (2006)
DOI: 10.1177/1090198106288996
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